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NPI Provider: 1669478590
Contact Name: NELSON JERILEE
Position: CFO
Phone: (530) 832-6577
Eastern Plumas Health Care Loyalton Medical Clinic Information:
Eastern Plumas Health Care Loyalton Medical Clinic organization have npi 1669478590, taxonomy code is 261QR1300X with license number is 58597 in . This Business address located in 500 1st Ave, Portola, CA 96122 California. Get directions of Eastern Plumas Health Care Loyalton Medical Clinic.
Practice Location
Address: 700 THIRD AVE, LOYALTON, CA 96118
Phone: (530) 832-6500
Business Location
Address: 500 1st Ave, Portola, CA 96122
Phone: (530) 832-6500
Fax: (530) 832-1105
Taxonomy
Taxonomy Code: 261QR1300X
License Number: 58597
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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